HomeMy WebLinkAboutBUILDING PERMIT APPLICATION04/10/2015 RI 13,36 FAX 7728782717 Art Stover Plumbing 1&004/005
ALL APPLIi ABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date:&=L to-Z01 SCANNED Permit Number 7r r
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St. Lucie County tIEGEIVED
Building Permit Application ,R p 2015
'Development
Planning nd Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Plerce FL 34992
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT
APPLICATION FOR; To Select from dropbox, click arrow at the and of line
Address,
'$Z(0(0 StINbi N1C" C L fZCt & -- PO Ca- 'S
Legal Desc
iptiom _LA V4-7 LVCAC-- -�f N6. 62NF W'T 7LI
(Da- -2_73--IC1S;
PropertyT�xlD#;.
"47.6r703'0032-000 -0 - Lot No,
Site Plan N�me:
Block No.
Project Name:
Front Back; Right Side: Left Side:
Setbacks
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N L
lIfflona
0HVA
Work o •e a orme under s permit— check a apply: "
LD Gas Tank EGas Piping Shutters Windows/Doors
i _
Elec
rlc' Plumbing []Sprinklers Cl Generator a Roof
Total Sq. F1
of Construction; 5 . Ft, of First Floor:
Cost of Co
struction: $ ((9ZS•.'" Utilities: OSeptic Building Height:
Name C(zUdnlDA IkASfa�l
Name: A C
Address: Mto S^t4DRAW C!A
Company:6R 3-wNl�
City: PO 5r. L J6tty Stater
Address:
Zip Code: '946t 'Z-• Fax: NIA
City: po(&V Ste. ti_VO4l= State: _ -
Phone No, O SO
Zip Code: dal Rb, Faxt'7' -8~7g• i1
E-Mail:
Phone No. �1-Z- �•--I �,' - �i `Z
Fill in fee simple Title Holder on next page ( if different
E-Mail:A0TSCZ vw1 N vn !1 .
from the olwrner listed above)
State or County License: t L(
If value of construction
Is $2500 or more, a RECORDED Notice of Commencement Is required.
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/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
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FEE SIMI
Name: _
Address:
City:
Zip:
TITLE HOLDER: " Not Applicable
one:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone.,
I eertlfy that no work or installation has commenced prior to the issuance of a permit.
St, Lucie Cc ntxx makes no reprose nrrt tlon that is granting a permit will authorize the permit holder to build the subject structure
which Is In ontllct with any appllcae�e Home Owners Association rules, bylaws or andcovenantsthat may restrict or prohlblt such
structure. P ease consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consider tlon of the granting of this requested permit, I do hereby agree that I will, In all respects, perform the work
in accordan a with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your operty, A Notice of Commencement must be recorded and posted on the jobsite
before the first inIf you Intend to obtain financln& consult with er or an attorney before
commencing'worlG dit vour Notice of Commencement.
Slgnaturalof 0&ier/
STATE OFIFLORIDA STATE OF FLORIDA
COUNTY OF 45—t - LvoAE' COUNTY OF - Ly C I:E
The forg I ,g Instrument was acknowledged before. me The forgoing instrument was acknowledged before me
this of AM L- 20 L5_;by I this 1 �ay of 20 I S by
(Name of p rsan acknowledging) (Name of person acknowledging) -
(Slgnatur of Notary Public- State o lorlda) (Sighture of Notary Public-Sbilte of Florlda )
Personally Known _ < _ OR Produced Identification
Type of Iderltlfication Produced= 0440:::n-slam
IMYCOMMISSIONOFF0
,� IRES: X)atober 18,
era-._v IlmdnIWO
Revised �7/15/2014
Personally Known 7C OR Produced Identification
Type of Identification Produced
MICHELLE D. BiQMDN
Commission No. t*3 *MMMMIS81ONIFFW01
a EXPIRES: bobber 19, 2017
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